Three Home Village 3
State licensed679 Rosal Way, San Rafael, CA 94903
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
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Medicare-certifiedSkilled Nursing
Smith Ranch Skilled Nursing & Rehabilitation Cente
San Rafael, CaliforniaMedicare inspection record
About Smith Ranch Skilled Nursing & Rehabilitation Cente
Smith Ranch Skilled Nursing & Rehabilitation Center brings comprehensive medical care and recovery support to San Rafael, California. Our team focuses on helping patients regain strength and independence through personalized rehabilitation programs and 24-hour skilled nursing services.
Community at a glance
Capacity
80 residents
Location
San Rafael, CA
Status
Listed in a public registry
Care & services offered
Skilled Nursing
Contact & location
1550 SILVEIRA PARKWAY, San Rafael, California 94903
Medicare inspection record
From CMS Care Compare, the federal record every Medicare-certified nursing home is held to. Data as of September 1, 2026. Check it on Medicare.gov
At its most recent standard inspection, on February 12, 2026, state inspectors cited 16 health deficiencies (the California average is 15.5).
Nurses and nurse aides spend 4 hours 11 minutes with each resident a day, below the California average of 4 hours 31 minutes.
Medicare has not fined Smith Ranch Skilled Nursing & Rehabilitation Cente in the last three years.
Staffing
| Measure | This home |
|---|---|
| Nurse and aide time per resident, per day | 4 hours 11 minutesBelow the California average |
| Registered nurse time per resident, per day | 25 minutesBelow the California average |
| Nursing staff who left in the past year | 33%Below the California average |
Inspections
31 health citations in the last three years. Each one is a federal standard inspectors found the home was not meeting.
June 9, 2026 · Complaint investigation · 2 citations
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningFrom a complaintCorrected Jun 16, 2026Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected Jun 16, 2026
April 15, 2026 · Complaint investigation · 5 citations
Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected May 7, 2026Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected May 7, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareFrom a complaintCorrected May 7, 2026Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningFrom a complaintCorrected May 7, 2026Ensure that residents are free from significant medication errors.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceFrom a complaintCorrected May 7, 2026
February 12, 2026 · Standard inspection · 9 citations+
Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Feb 24, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, a pattern (level E)Nutrition and DietaryCorrected Feb 24, 2026Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a pattern (level E)Resident RightsCorrected Feb 24, 2026Keep all essential equipment working safely.
Risk of harm, no one hurt, a pattern (level E)EnvironmentalCorrected Feb 24, 2026PASARR screening for Mental disorders or Intellectual Disabilities
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Feb 24, 2026Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Feb 24, 2026Provide and implement an infection prevention and control program.
Risk of harm, no one hurt, a few residents (level D)Infection ControlCorrected Feb 24, 2026Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 24, 2026Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Feb 24, 2026
May 16, 2025 · Standard inspection · 14 citations+
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Risk of harm, no one hurt, widespread (level F)Resident RightsCorrected Jun 17, 2025Have a plan that describes the process for conducting QAPI and QAA activities.
Risk of harm, no one hurt, widespread (level F)AdministrationCorrected Jun 17, 2025Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Risk of harm, no one hurt, widespread (level F)Nutrition and DietaryCorrected Jun 17, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Risk of harm, no one hurt, a pattern (level E)Resident Assessment and Care PlanningCorrected Jun 17, 2025Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Risk of harm, no one hurt, a pattern (level E)Quality of Life and CareCorrected Jun 17, 2025Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 17, 2025Ensure that residents are fully informed and understand their health status, care and treatments.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 17, 2025Provide enough food/fluids to maintain a resident's health.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 17, 2025Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 17, 2025Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 17, 2025Ensure each resident receives an accurate assessment.
Risk of harm, no one hurt, a few residents (level D)Resident Assessment and Care PlanningCorrected Jun 17, 2025Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Risk of harm, no one hurt, a few residents (level D)Quality of Life and CareCorrected Jun 17, 2025Reasonably accommodate the needs and preferences of each resident.
Risk of harm, no one hurt, a few residents (level D)Resident RightsCorrected Jun 17, 2025Ensure medication error rates are not 5 percent or greater.
Risk of harm, no one hurt, a few residents (level D)Pharmacy ServiceCorrected Jun 17, 2025
April 22, 2025 · Complaint investigation · 1 citation+
Protect each resident from the wrongful use of the resident's belongings or money.
Risk of harm, no one hurt, a few residents (level D)Freedom from Abuse, Neglect, and ExploitationFrom a complaintCorrected May 6, 2025
Fines and payment denials
No fines or Medicare payment denials in the last three years.
About the home, per Medicare
- Ownership
- For profit - Limited Liability company
- Legal business name
- Ghc of San Rafael, LLC
- Medicare-certified beds
- 80
- Average residents per day
- 74
- Accepts
- Medicare and Medicaid
- First certified
- April 15, 1994
- Part of a chain
- Generations Healthcare, 27 homes
- Inside a hospital
- No
- Continuing care retirement community
- No
- Resident or family council
- Resident
- Sprinklers in all required areas
- Yes
- CMS Certification Number
- 555595
Location
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1550 SILVEIRA PARKWAYSan Rafael, CA 94903
12 other communities within 10 miles
Senior living near San Rafael
Three Home Village 2
State licensed675 Rosal Way, San Rafael, CA 94903
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
Three Home Village I
State licensed665 Rosal Way, San Rafael, CA 94903
Assisted Living
Assisted livingResidential care for the elderly (RCFE)24-hour personal care
Call for pricing
Prices not published
Questions about Smith Ranch Skilled Nursing & Rehabilitation Cente
How did Smith Ranch Skilled Nursing & Rehabilitation Cente do on its last inspection?+
State inspectors visited on February 12, 2026 and cited 16 health deficiencies, 7 of them from complaint investigations. The California average is 15.5.
How much nursing care does each resident get at Smith Ranch Skilled Nursing & Rehabilitation Cente?+
Nurses and aides spend 4 hours 11 minutes with each resident per day, including 25 minutes from registered nurses. 33% of nursing staff left over the past year.
Has Smith Ranch Skilled Nursing & Rehabilitation Cente been fined by Medicare?+
Medicare's records show no fines against Smith Ranch Skilled Nursing & Rehabilitation Cente in the last three years.
Does Medicare cover skilled nursing?+
Medicare covers up to 100 days of skilled nursing per benefit period after a qualifying 3-day hospital stay — fully for the first 20 days, then with a daily copay. Long-term custodial stays are generally not covered.
How much does a nursing home cost?+
A semi-private room averages about $7,900 per month nationally; private rooms cost more. Medicaid is the largest payer for long-term nursing home care.
What is the CMS star rating?+
Medicare rates nursing homes 1 to 5 stars on its Care Compare site. We don't repeat those stars here. Each nursing home page shows Medicare's underlying record instead: inspections, staffing and fines, with a link to check it on Medicare.gov.